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| Antibiotic Medications |
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| Antituberculosis Agents |
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 | Isoniazid
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| Depletions |
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| Calcium |
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Osteoporosis (bone loss) is the primary disease associated
with long-term calcium deficiency; it may be associated with
bone pain and spinal deformity. Depleted levels can also cause
muscle cramps, irregular heartbeat, and depression.
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| Probiotics; Bifidobacteria bifidum; Lactobacillus
Acidophilus; Saccaromyces boulardii |
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Reducing the number of probiotic organisms in the
gastrointestinal tract may decrease the body's ability to resist
infections and diseases. Symptoms of deficiency include gas,
abdominal distress, diarrhea, and yeast infections.
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| Vitamin
B3 (Niacin) |
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Because this nutrient plays a key role in many metabolic
processes, low levels may impair the breakdown and use of
starches, fats, and proteins. Symptoms of deficiency may occur
within 1 to 2 months. Severely low levels of niacin cause
pellagra, a condition characterized by inflammation of the skin,
mental depression, abdominal pain, and diarrhea.
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| Vitamin
B6 (Pyridoxine) |
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Symptoms of vitamin B6 deficiency may include
weakness, nervousness, insomnia, mental confusion, irritability,
and anemia. Long-term low levels of this nutrient may also
increase the risk of heart disease as well as colon and prostate
cancers.
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| Vitamin D |
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Vitamin D deficiency leads to abnormal bone formation
(rickets) in children and softening of the bones (osteomalacia)
in adults. Vitamin D deficiency interferes with calcium
absorption, leading to deficiency of that nutrient with all of
the associated symptoms (such as increased risk of fractures,
osteoporosis (bone loss), and muscle weakness). Because this
nutrient is fat-soluble, prolonged periods of deficiency are
required to produce these symptoms.
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| Vitamin E |
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While deficiency of this nutrient is uncommon, it negatively
affects muscle tissue, red blood cells, nervous, and
reproductive systems. Over the long-term, depleted levels of
this nutrient may also be associated with cancer, heart disease,
and altered immune function.
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| Vitamin K |
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The major symptom of vitamin K deficiency is an inability of
the blood to clot properly, which may lead to excessive bleeding
and a tendency to bruise easily.
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| Editorial Note |
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The selected depletions information presented here identifies
some of the nutrients that may be depleted by certain
medications. The signs and symptoms associated with nutrient
deficiency may also indicate conditions other than nutrient
deficiency. If you are experiencing any of the signs or symptoms
mentioned, it does not necessarily mean that you are nutrient
deficient. Nutrient depletion depends upon a number of factors,
including your medical history, diet, and lifestyle as well as
the length of time you have been taking the medication. Please
consult your healthcare provider; he or she can best assess and
address your individual healthcare needs, and determine if you
are at risk for nutrient depletions from these medications as
well as others not listed here.
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| Supporting Research |
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|
Ames BN. Micronutrient deficiencies: A major cause of DNA
damage. Ann NY Acad Sci. 2000;889:87-106.
Biehl, JP and Vilter, RW. Effect of isoniazid on vitamin B-6
metabolism: its possible significance in producing isoniazid
neuritis. Proc Soc Exp Biol Med. 1954;85:389-392.
Brodie MJ. and Hillyard CJ. Calcium metabolism during
rifampicin and isoniazid therapy for tuberculosis. J Royal
Soc Med. 1982;75:919.
Cashman K, Flynn A. Optimal nutrition: calcium, magnesium and
phosphorus. Proc Nutr Soc. 1999;58:477-487.
Conly J. and Stein K. Reduction of vitamin K2 concentrations
in human liver associated with the use of broad spectrum
antimicrobials. Clin Invest Med. 1994;17(6): 531-539.
Covington T, ed. Nonprescription Drug Therapy Guiding
Patient Self-Care. St Louis, MO: Facts and Comparisons;
1999:467-545.
DiLorenzo PA. Pellagra-like syndrome associated with
isoniazid therapy. Acta Dermatol Venereol. 1967;47:
318-322.
Fauci A. ed. et. al. Harrison's Principles of Internal
Medicine. Fourteenth Edition. New York, Mc-Graw-Hill
Companies Health Professional Division, 1998.
Galland L. The Four Pillars of Healing. New York, NY:
Random House; 1997:186-199.
Holick MF, Krane SM, Potts JT. Calcium, phosphorus, and bone
metabolism: calcium-regulating hormones. In: Fauci AS, Braunwald
E, Isselbacher KJ, et al, eds. Harrison's Principles of
Internal Medicine. 14th ed. New York: McGraw-Hill
Companies Health Professional Division; 1998:2221-2222.
International Life Sciences Institute, Present Knowledge
in Nutrition. Seventh Edition. Washington, DC, ILSI Press,
1996.
National Research Council. Recommended Dietary Allowances.
10th ed. Washington, DC: National Academy Press;
1989.
Potts JT. Diseases of the parathyroid gland and other hyper-
and hypocalcemic disorders. In: Fauci AS, Braunwald E,
Isselbacher KJ, et al, eds. Harrison's Principles of Internal
Medicine. 14th ed. New York: McGraw-Hill
Companies Health Professional Division; 1998:2241.
Rao DS. Perspective on assessment of vitamin D nutrition. J
Clin Densitom. 1999:2(4):457-464.
Shahani KM and Ayelo AD. Rise of dietary Lactobacilli
in gastrointestinal microecology. Am J Clin Nutr.
1980;33:2448-2457.
Vieth R. Vitamin D supplementation, 25-hydroxyvitamin D
concentrations, and safety. Am J Clin Nutr.
1999;69:842-856.
Vitamin E Fact Book. VERIS (Vitamin E Research &
Information Service), 1994.
Wilson JD. Vitamin deficiency and excess. In: Fauci AS,
Braunwald E, Isselbacher KJ, et al, eds. Harrison's
Principles of Internal Medicine. 14th ed. New
York: McGraw-Hill Companies Health Professional Division;
1998:483-485.
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| Review Date: October 2000 |
Reviewed By: All depletions
monographs have been reviewed by a team of experts including
Derrick M. DeSilva, Jr., MD, Raritan Bay Medical Center, Perth
Amboy, NJ; Jacqueline A. Hart, MD, Department of Internal
Medicine, Newton-Wellesley Hospital, Harvard University and
Senior Medical Editor, A.D.A.M., Inc., Boston, MA; John Hinze,
PharmD, NMD, Woodbine, IA; Ruth Marlin, MD, Medical Director and
Director of Medical Education, Preventive Medicine Research
Institute, Sausalito, CA; Brian T Sanderoff, PD, BS in Pharmacy,
Clinical Assistant Professor, University of Maryland School of
Pharmacy; President, Your Prescription for Health, Owings Mills,
MD; Leonard Wisneski, MD, FACP, George Washington University,
Rockville, MD; Ira Zunin, MD, MPH, MBA, President and Chairman,
Hawaii State Consortium for Integrative Medicine, Honolulu, HI.
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Copyright © 2004 A.D.A.M., Inc
The publisher does not accept any
responsibility for the accuracy of the information or the
consequences arising from the application, use, or misuse of any
of the information contained herein, including any injury and/or
damage to any person or property as a matter of product
liability, negligence, or otherwise. No warranty, expressed or
implied, is made in regard to the contents of this material. No
claims or endorsements are made for any drugs or compounds
currently marketed or in investigative use. This material is not
intended as a guide to self-medication. The reader is advised to
discuss the information provided here with a doctor, pharmacist,
nurse, or other authorized healthcare practitioner and to check
product information (including package inserts) regarding
dosage, precautions, warnings, interactions, and
contraindications before administering any drug, herb, or
supplement discussed herein.
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